Under UK Athletic Rules (Permit applied for)
Contact Details
Email Address
Full Name
Date of Birth
Age on Race Day
DECLARATION
 Submission of this form will be considered as an acceptance of governing body rules and a declaration that you will compete on foot and run entirely at your own risk. No accompanying cycles allowed on the 10k run.
 Dogs on a lead allowed on the 3k run. No accompanying cycles allowed on the 3k run.
 Any medical conditions that you wish to advise the race organisers of, must be emailed separately.
DATA PROTECTION
 Details provided will be used by the race organisers only, and will not be passed to any third parties.
Team Name
First Name
Surname
Contact Phone
Address 1
Address 2
Address 3
Town
County
Post Code
Clicking the Submit button will take you forward to the payment page
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